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HD-A171  389 

BIOLOGICAL  APPLICATIONS  AND  EFFECTS  OF  OPTICAL  HASERS 
<U)  VIRGINIA  CONHONNEALTH  UNIV  RICHMOND  H  T  HAH  JUN  84 
DAND17-82-C-2882 

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AD-A171  385 


BIOLOGICAL  APPLICATIONS  AND  EFFECTS  OF  OPTICAL  MASERS 


Annual  Report 


March  15,  1983  -  March  15,  1984 
June  1984 


William  T.  Ham,  Jr.,  Ph.D. 

Supported  by 

U.S.  ARMY  MEDICAL  RESEARCH  AND  DEVELOPMENT  COMMAND 
Fort  Detrlck,  Frederick,  Maryland  21701-5012 


Contract  No.  DAMD17-82-C-2083 


Virginia  Commonwealth  University 
Richmond,  Virginia  23219 

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The  findings  in  this  report  are  not  to  be  construed 
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Virginia  Commonwealth 
University 


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Richmond,  Virginia  23219 


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ORGANIZATION  U.S.  Army  Medical  I  (If  applicable) 

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PROGRAM 

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206 

11.  TITLE  (Include  Security  Classification) 

(U)  Biological  Applications  and  Effects  of  Optical  Masers 


12  PERSONAL  AUTHOR(S) 

William  T.  Ham,  Jr.,  Ph.D. 


13a  TYPE  OF  REPORT 
Annual 


13b  TIME  COVERED  114  DATE  OF  REPORT  (Year,  Month,  Day)  115  PAGE  COUNT 

from  3/15/83  to  3/15/£|4  June  1984  I 


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19  ABSTRACT  (Continue  on  reverse  if  necessary  and  identify  by  block  number) 


20  DISTRIBUTION /AVAILABILITY  OF  A8STRACT  21  ABSTRACT  SECURITY  CLASSIFICATION 

□  UNCLASSIFIED/UNLIMITED  SAME  AS  RPT  □  OTIC  USERS  _ 


22a  NAME  OF  RESPONSIBLE  INDIVIDUAL  |22b  TELEPHONE  (Include  Area  Code)  22 c  OFFICE  SYMBOL 

Mrs.  Virginia  Miller  301-663-7325  _ SGRD-RMS 


OD  FORM  1473,  84  MAR  83  APR  edition  may  be  used  until  exhausted  SECURITY  CLASSIFICATION  OF  This  PAGE 

All  other  editions  are  obsolete 


Table  of  Contents 


1. 

Abstract 

Page 

1-3 

2. 

Argon/krypton  Acoustically  Nodulated  Laser 

Page 

4-5 

3. 

Hinieue  Radiant  Exposures  for  40  ps  Pulses  of  647  ne  Light. 

Page 

5-7 

4. 

Additivity  and  Reparation  froe  Repetative  Exposures  to 

Short  Wavelength  Light. 

Page 

7-10 

5. 

Histological  Analysis  of  Photocheeical  Lesions  Produced  Under 
Conditions  of  Elevated  Blood  Oxygen. 

Page 

10-12 

6. 

Basic  Mechanises  Underlying  the  Production  of  Photocheeical 

Lesions  in  the  Maeealian  Retina. 

Page 

12-13 

7. 

Long-Tere  Repetitive  Exposures  of  Trained  Monkeys  to  Near 

UV  Radiation  and  Short  Wavelength  Light. 

a.  Near  UV  effects  an  lens  Mith  noreal  and  dilated  pupil. 

b.  Blue  light  effects  on  the  retina. 

c.  Near  UV  phototoxicity  in  the  aphakic  prieate  retina. 

Page 

13-16 

8. 

Publications,  Recent  and  In  Press,  Abstracts. 

Page 

16-17 

9. 

Additional  Activities. 

Page 

17—18 

10. 

Reprints  of  Publications  and  Abstracts. 

1 


1.  Abstract 

(2)  The  argon/krypton  laser  was  back  in  operation  in  October 
1983  after  eany  vicissitudes  during  the  fiscal  year. 
Unfortunately,  the  Bragg  cell  that  drives  the  acoustic  Modulator 
failed  to  function.  The  argon/krypton  laser  and  acoustic 
■odulator  are  operating  satisfactory  now  with  a  Bragg  cell  on 
loan  by  Spectra-Physics  while  our  Bragg  cell  has  been  sent  to 
California  for  repairs.  The  research  on  threshold  data  as  a 
function  of  wavelength  and  Modulation  frequency  can  now  proceed. 
(3)  Additional  data  on  40  |ls  pulses  at  a  PRF  of  400  Hz  are 
presented  in  Table  I.  Figure  1  gives  a  log-log  plot  of  threshold 
corneal  power  Pc  vs  exposure  tiae  in  s  for  PRF's  of  100,  200  and 
400  Hz.  Pc  decreases  with  PRF  for  shorter  exposure  tiaes  but 
seeas  to  converge  far  exposures  greater  than  1000  s.  (4)  A 
Workshop  dealing  with  the  possible  long-tera  ocular  effects  of 
optical  radiation  on  aging  and  aacular  degeneration  is  discussed 
and  a  final  draft  of  the  report  of  the  Working  6roup  assessing 
light  effects  on  the  retinal  pigaent  epitheliua  (RPE)  is  appended 
to  this  report.  A  preliainary  experiaent  on  the  additivity  and 
reparation  of  repetitive  exposures  of  light  to  the  saae  retinal 
site  is  described.  Repetitive  100  s  exposures  of  blue  light  (440 
nm  rt  5  na)  at  24  hour  intervals  were  found  to  be  additive  for  2 
exposures  at  SOX  of  threshold,  for  3  exposures  at  40X  of 
threshold,  and  for  4  exposures  at  30X  of  threshold.  Wavelengths 
at  490  and  520  na  were  not  additive  even  at  50X  of  threshold. 


4 


2 


(5)  Two  aacaque  Monkeys  were  used  to  study  the  histological 
consequences  of  retinal  blue  light  lesions  produced  under  high 
arterial  blood  oxygen  tension.  Analysis  of  the  various  photic 
lesions  showed  only  Moderate  daeage  to  the  neural  retina  but  very 
extensive  daaage  to  the  RPE.  This  is  the  histopathological 
pattern  of  a  typical  blue  light  lesion  shown  in  previous  studies 
but  aore  severe  and  appearing  earlier  after  exposure.  A  report 
of  this  research  is  "in  press"  in  Invest.  Ophthalaol.  &  Vis.  Sci. 

A  preprint  is  enclosed.  (6)  The  enhanceaent  of  retinal 
sensitivity  to  blue  light  daeage  when  the  aniaal  is  highly 
oxygenated  (threshold  lowered  by  a  factor  of  3  at  arterial  P0»  of 
270  mm  of  Hg)  suggests  but  does  not  prove  that  0a  free  radicals 
and  sensitized  Molecules  (05,  Ha0a,  0H-,‘0a>  play  an  iaportant 
role  in  photocheaical  daeage  to  the  retina.  Beta-carotene 
provided  protection  froa  blue  light  daaage  plus  oxygenation  in 
the  only  aniaal  tested  so  far.  Results  to  date  do  not  contradict 
the  hypothesis  that  photodynaMical  action  (probably  singlet 
oxygen)  is  a  contributing  factor  leading  to  photocheaical  lesions 
in  the  retina.  A  report  describing  these  effects  is  published  in 
Curr.  Eye  Res.,  reprint  enclosed.  (7)  Two  trained  aonkeys,  one 
with  noraal  pupil  size,  one  with  pupils  dilated  >  8  aa,  have 
undergone  950  and  366  daily  exposures  respectively  to  the 
spectrua  330-420  na  (5aW*ca“a  at  cornea).  As  yet,  no  lenticular 
abnoraal i ti es  have  heen  detected  in  either  aniaal.  Another 
trained  aniaal  with  daily  exposures  to  the  spectrua  330-490  na 


3 


developed  a  f unduscopical 1 y  visible  lesion.  This  anieal  was 
recently  sacrificed  for  histological  analysis  of  the  lesion.  A 
trained  aphakic  eonkey  showed  extensive  retinal  daaage  after  316 
daily  exposures  to  the  spectrue  330-420  na.  The  retinal 
irradiance  during  an  exposure  was  approxiaately  1  aM*ca~3,  a 
figure  soaewhat  less  than  that  to  be  expected  on  the  retina  of  an 
aphakic  huaan  eye  on  a  bright  sunny  day  between  noon  and  2  p.a. 
This  aniaal  has  been  sacrificed.  Histological  analysis  showed 
widespread  RPE  abnoraal i ti es  in  the  superior  and  nasal 
paraaacular  fundus.  This  experiaent  deaonstrates  that  the  RPE  in 
an  aphakic  eye  can  be  daaaged  by  saall  daily  exposures  to  near  UV 
radiation. 


This  has  been  a  year  of  frustration  in  our  attempts  to 
investigate  ainiaua  radiant  exposures  for  acoustically  aodulated 
wavelengths  at  647na  and  488n*  as  provided  by  the  argon/krypton 
laser.  The  program,  as  originally  planned,  called  for  a 
comparison  of  threshold  data  at  these  two  wavelengths  as  a 
function  of  Modulation  frequencies  1,10  and  100  kHz  and  1,  10  and 
20  HHz.  Our  first  problea  was  the  argon/krypton  laser;  we  were 
unable  to  aake  it  oscillate.  Spectra-Physics  does  not  renovate 
old  tubes  but  offered  to  sell  us  a  new  tube  for  $7,700  including 
shipping  charges  if  we  would  ship  the  old  laser  to  thea.  In  an 
effort  to  save  funds  we  opened  negotiations  with  Phoenix  Lasers, 
Ltd.  who  offered  to  renovate  the  old  laser  for  a  price  ranging 
froa  $200  to  $5,200  depending  on  the  reason  for  the  Malfunction. 
The  argon/krypton  laser  was  shipped  to  thea  on  July  &  1983.  Mhen 
it  arrived  in  Palo  Alto,  California,  Phoenix  Lasers,  Ltd.  had 
gone  out  of  business.  Me  were  able  to  arrange  for  the  delivery 
of  the  laser  to  Spectra-Physics  in  Mountain  View,  California. 
They  repaired  and  shipped  it  back  to  us  in  October  1983.  But  our 
troubles  had  only  begun.  The  acoustic  Modulator,  a  coaplicated 
electro-optical  device,  was  defective.  For  the  next  two  months 
we  tried  a  nuaber  of  ways  to  correct  the  fault  as  suggested  by 
the  engineers  at  the  New  Jersey  plant  of  Spectra-Physics.  The 
aajor  problea  is  that  this  type  of  acoustic  aodulator  is  obsolete 


6 

* y  r*  wk  »  v 

Table  I 

Radiant  Exposures  Hp  per 

pulse  and 

He  total  in  J*ca~a 

for  a 

ainiaal 

lesion  in  the  aonkey  retina  are 

given  for  40  ps  pulses  at  | 

pulse 

repetition  frequencies 

(PRF )  of 

100,  200,  and  400 

pulses 

per  s 

for  exposure  durations  ranging 

froa  1  to  3000  s. 

Eo  in 

W-ce-* 

on  the  retina  is  calculated  on  the  assuaption  that  the  1 

I  l„.r 

beaa  produced  25  pa 

lesions 

at  the  1/e  points 

of  the  1 

r 

{  Gaussian  distribution,  E*E0 

exp (-r*/2 

O*)  according  to  the 

■!  for aula 

Eo=P«T-<2  O*)-*  where  P«  in  M 

is  the  power  entering  the 

1  cornea 

as  aeasured,  T  is 

the  transaission  through  the 

ocular  I 

[ 

j  eedia 

(0.93  for  647na) 

and  i  s 

the  Gaussian  paraaeter  1 

* 

|j  corresponding  to  a  radius  r  of 

12.5  pa. 

• 

Exposure  Tiae 

Nuaber  P„ 

Eo  H 

o  per  pulse  H0 

additive 

s 

Pulses  U 

H-ca~* 

aJ'ca"* 

J • ca~* 

• 

1 

1x10*  .14 

265. 

10.6 

1.06 

1 

2x10*  .082 

155. 

6.22 

1.24 

1 

4x10*  .052 

98.7 

3.95 

1.58 

10 

1x10*  .080 

152. 

6.06 

6.06 

10 

2x10*  .059 

113. 

4.51 

9.02 

10 

4x10*  .039 

74.7 

2.99 

11.9 

10* 

lx 104  .029 

54.9 

2.19 

21.9 

'  10* 

2x 104  .031 

58.7 

2.35 

47.0 

10* 

4xl04  .021 

39.4 

1.58 

63. 1 

|  10* 

1x10"  .014 

26.5 

1.06 

106 

I  10* 

2x10"  .012 

22.7 

0.91 

182 

10* 

4x10*  .010 

19.0 

0.76 

305 

3x10* 

3x10*  .0067 

12.8 

0.51 

153 

3x10* 

6x10*  .0065 

12.2 

0.49 

293 

3x10* 

12x10*  .0054 

10.0 

0.41 

494 

1 

7 


g  w  |«»|u  «. 


In  Figure  1  Me  have  plotted  the  corneal  poMer  Pe  entering 
the  eye  in  W  against  exposure  duration  in  s  as  shoMn  in  Table  I. 

This  is  a  log-log  plot,  The  circles  represent  a  PRF  of  100  Hz, 
the  x's  200  Hz  and  the  inverted  v's  400  Hz.  It  can  be  seen  that 
Pe  decreases  Mith  PRF  for  the  shorter  exposure  durations  but 
seees  to  converge  as  the  exposure  duration  is  extended  beyond 
1000  s.  It  seees  logical  to  suppose  that  as  the  tiee  between 
pulses  decreases  froa  10  eilliseconds  to  2.5  ailliseconds  the 
additivity  between  pulses  increases.  Based  on  a  thereal  eodel 
this  would  mean  temperature  additivity  as  the  tiee  between  pulses 
decreases.  For  high  PRF's  the  pulse  eodel  should  approach  the  CW 
condition.  Spot  size  on  the  retina  is  an  important  factor.  For 
very  small  spot  sizes  like  those  produced  by  lasers,  as  in  this 
experiment ,  the  tiee  required  to  reach  temperature  equilibrium  is 
very  short  z:  microseconds  and  the  irradiances  are  high.  Small 
spot  size  also  means  rapid  dissipation  of  energy  when  the  pulse 
is  over,  so  that  for  low  PRF’s  one  would  not  expect  temperature 
additivity. 

4.  Additivity  and  Reparation  from  Repetitive  Exposures  to  Short  Wavelength  Light. 


Interest  is  increasing  in  the  possible  effects  of  long-term 
chronic  exposure  to  sunlight  and  man-made  optical  sources.  For 
example,  Dr.  Han  attended  a  Workshop  on  Long-Term  Visual  Health 
and  Optical  Radiation  sponsored  by  the  Division  of  Risk 
Assessenent,  National  Center  for  Devices  and  Radiological  Health, 
Food  and  Drug  Administration.  This  Workshop  was  co-sponsored  by 


5*5 


the  Army  Medical  Research  and  Development  Coeeand,  the  Lawrence 
Berkeley  Laboratory,  Department  of  Energy  and  the  Occupational 
Safety  and  Health  Adainistration.  The  Coaaittee  on  Vision, 
NAS-NRC  was  a  participating  organization.  Leading  questions 
posed  by  the  Workshop  concerned  the  effects  of  daily,  chronic 
exposure  to  short  wavelength  light  on  aging  and  degeneration  of 
the  retina  and  lens  leading  to  degenerative  aaculopathies  and 
senile  cataract.  Dr.  Has  chaired  the  Working  6roup  assigned  the 
task  of  assessing  light  daaage  to  the  RPE  and  its  possible 
relationship  to  aging  and  aacular  degeneration  of  the  retina.  A 
preprint  of  the  final  draft  subaitted  by  the  RPE  Working  Group  is 
attached  to  this  progress  report.  It  is  scheduled  to  be 
published  by  CRC  Press  in  June  198S. 

We  have  begun  an  investigation  on  the  additivity  and 
reparation  of  repetitive  exposures  of  light  to  the  saae  retinal 
site.  Originally  we  intended  to  use  repetitive  exposures  to  the 
saae  retinal  site  at  24  hour  intervals  for  light  levels  SOZ,  40Z, 
30Z,  20Z  and  10  Z  of  threshold  at  3  wavelengths  of  440,  490,  and 
520  na.  We  planned  to  use  a  500  jja  spot  size  and  exposure  tiaes 
of  100  s.  The  protocol  called  for  15  exposures  across  the  retina 
in  3  rows  with  5  different  exposure  levels  at  each  wavelength  in 
a  single  eye.  Each  location  would  be  carefully  documented  by 
fundus  photography.  The  plan  was  to  anesthetise  the  aniaal  on  a 
daily  basis  for  21  days  including  Saturdays  and  Sundays.  We  have 
completed  the  initial  step  of  this  protocol  by  exposing  one 


10 


aniaal  for  a  5  day  period  using  20  na  filters  peaked  at  440,  490 

and  520  na  as  provided  by  the  2500  M  xenon  laap  with  quartz 

optics.  Five  exposures  at  50,  40,  30,  20  and  10  percent  of  a 
predeterained  threshold  Mere  given  at  each  of  these  wavelengths. 
After  5  daily  exposures,  3  lesions  Mere  detectable  at  the  440  na 
Mavelength;  that  is  50%  of  threshold  shoMed  up  as  a  lesion  on  the 
third  day,  40%  on  the  fourth  day  and  30%  on  the  fifth  day.  No 
lesions  appeared,  even  on  the  fifth  day  for  the  longer 

aavelengths  490  and  520  na.  This  experiaent  deaonstrates  the 

sharp  rise  in  retinal  sensitivity  to  daaage  as  the  Mavelength 
decreases  toNard  the  near  ultraviolet.  He  estiaate  a  factor  of 
froa  3-5  for  retinal  sensitivity  at  440  na  as  coapared  Mith  4B8 
na.  Me  plan  to  redesign  the  protocol  for  this  experiaent  at  the 
longer  aavelengths  490  and  520  na.  It  probably  Mill  be  necessary 
to  use  90,  B0,  70,  60,  and  50  percent  of  threshold  for  these 

Mavelengths. 

5.  Histploflic^)  Analysis  of  Phptpchepicaji  l,qsi.afls..  P.rqdMfipl 
Under  Conditions  of  Elevated  Blood  oxvaen. 

This  study  Mas  perforaed  on  2  aacaque  aonkeys  using  the  2500 

M  xenon  optical  systea  as  radiation  source  for  a  narrow 

bandwidth,  440  i-  5  na.  Retinal  iaage  size  Mas  1  aa  and  radiant 

exposures  to  the  retina  ranged  froa  36  to  11  J*ca~*.  Oxygenation 

Mas  accoaplished  under  anesthesia  by  an  endotracheal  tube 

i  connected  to  a  non-rebreathi ng  apparatus  equipped  with  separate 

inhalation  and  exhalation  valves  Mith  attached  gas  bag  that  Mas 

i  kept  slightly  above  ataospheric  pressure  with  a  needle  valve 

i 

) 


11 


regulator.  A  previously  prepared  tank  eixture  with  an  80/20 
ratio  of  0a/Na  was  used.  Arterial  (feeoral)  blood  saeples  were 
taken  before  oxygenation  began  and  after  30  einutes  of  breathing 
the  80/20  eixture.  Blue  light  exposures  were  perforaed 
iaaediately  after  30  einutes  of  oxygenation.  Threshold  data  on 
each  anieal  had  been  predetereined  at  least  a  week  before  the 
oxygenation  studies. 

When  blood  oxygenation  is  not  experieental ly  elevated  the 
threshold  radiant  exposure  for  a  blue  light  lesion  to  be 
funduscopically  visible  at  2  days  postexposure  is  about  30 
J*ca~*.  At  a  high  blood  P0a  level  (270  ea  Hg)  a  radiant  exposure 
of  only  11  J-ce~a  gives  a  funduscopically  visible  lesion  at  1  day 
post  exposure.  This  large  increase  in  retinal  sensitivity  to 
blue  light  daaage  is  probably  due  to  photodynaeic  action  and  aay 
involve  singlet  oxygen  though  this  reaains  to  be  proved. 
Analysis  of  the  various  photic  lesions  showed  only  aoderate 
daaage  to  the  neural  retina  but  a  strong  response  was  seen  in  the 
RPE.  This  is  the  histopathological  pattern  of  a  typical  blue 
light  lesion  shown  in  previous  studies  but  sore  severe.  The 
effect  of  elevated  blood  0a  is  to  increase  retinal  sensitivity  to 
photic  daaage,  to  lower  the  daaage  threshold  and  the  tiae  of  its 
appearance,  and  to  increase  the  severity  of  daaage  at  a  given 
radiant  exposure.  Mild  lesions  observed  at  23  and  57  days  after 
exposure  show  reaarkable  recovery.  A  paper  describing  this 
research  has  been  accepted  for  publication  by  Investigative 


12 


Ophthalmology  and  Visual  Science.  A  preprint  is  enclosed  Mith 
this  annual  progress  report. 

6.  Basic  Mechanises  Underlying  the  Production  of  Photocheei cal 
Lesions  in  the  Mammalian  Retina. 

Dr.  Hae  delivered  an  invited  paper  Mith  the  above  title  at 
an  International  Syaposiua  on  Light  and  Oxygen  Effects  on  the  Eye 
sponsored  by  the  Departaent  of  Ophthalmology,  University  of 
Maryland  School  of  Medicine.  This  paper  has  been  published  in 
Current  Eye  Research.  A  reprint  is  enclosed  in  this  annual 
progress  report. 

Briefly,  me  have  pointed  out  that  the  mammalian  retina  is 
unique  among  body  tissues  because  it  is  the  only  tissue  Mhere 
light  is  focused  continuously  on  a  group  of  cells  that  is  highly 
oxygenated,  i.e.  the  retinal  pigment  epithelium  (RPE)  and  the 
photoreceptor  cells  that  are  among  the  most  aetabol ical 1 y  active 
cells  in  the  body.  Both  light  and  oxygen  can  be  individually 
toxic  to  cells.  In  combination  toxicity  should  be  enhanced.  He 
have  shomn  in  the  rhesus  monkey  that  mhen  the  arterial  blood 
oxygen  is  enhanced  to  a  P02  of  270  mm  Hg,  the  threshold  for  the 
blue  light  lesion  is  reduced  by  a  factor  of  3,  from  30  J*cm~a  to 
10  J*ca~a.  This  implies  photodynamic  action  and  probably 
involves  singlet  oxygen.  Homever,  this  remains  to  be  proved. 
From  a  practical  standpoint  the  retina  of  a  patient  undergoing 
ophthalmic  surgery,  e.g.  lens  extraction,  vitrectomy,  etc.,  Mould 
be  more  sensitive  to  retinal  light  damage  if  breathing  oxygen. 
Injections  of  methylprednisolone  (125  mg  i.v.)  one  hour  before 


exposure  of  the  aacaque  retina  to  blue  light  seeaed  to  provide 


soae  protection.  However,  ao re  recent  experiaents  have  not 

substantiated  this  effect  and  we  believe  that  auch  aore  research 

is  needed  before  the  role  of  steroids  in  light  daaage  can  be 

assessed.  The  carotenoid  B-carotene  has  been  shown  to  provide 

protection  froa  blue  light  daaage  in  one  aonkey.  This  is  further 

evidence  that  singlet  oxygen  aay  be  involved  in  the  production  of 

photocheaical  lesions  by  blue  light. 

Lono-Tera  Repetitive  Exposures  of  Trained  Honkevs 
to  Near  UV  Radiation  and  Short  Wavelength  Light. 

These  experiaents  began  in  1979.  They  were  designed  to 
study  the  long-tera  effects  on  the  lens  and  retina  of  daily 
exposures  to  near  UV  and  short  wavelength  visible  light  siailar 
to  that  froa  the  sun  at  sea  level.  The  2500  W  xenon  laap  with 
quartz  optics  was  equipped  with  suitable  filters  and  airrors  to 
produce  two  spectral  bandwidths,  330-420  na  corresponding 
approxiaately  to  near  UV  radiation  froa  sunlight,  and  330-490  na 
corresponding  roughly  to  the  near  UV  plus  short  wavelength  blue 
light  found  in  sunlight.  The  lens  absorbs  a  large  proportion  of 
the  330-420  na  spectruaj  less  than  IX  of  this  radiation  reaches 
the  priaate  retina.  On  the  other  hand  when  the  lens  is  reaoved 
by  cataract  surgery  the  retina  is  also  exposed  to  near  UV 
radiation.  Approxiaatel y  27X  of  the  light  in  the  330-490  na 
spectrua  reaches  the  retina  in  the  noraal  eye,  i.e.  lens  intact. 
Two  experiaents  with  trained  aonkeys  were  designed  to  study  the 
effects  of  near  UV  on  the  lens.  A  third  experiaent  was  designed 


14 


to  study  the  effects  of  blue  light  on  the  retina  and  the  fourth 
experiment  was  designed  to  study  the  effects  of  near  UV  on  the 
retina  of  an  aphakic  monkey.  These  experiments  will  be  discussed 
separately. 

a.  Near  UV  effects  on  lens  with  normal  and  dilated  pucil. 

The  animal  mith  normal  pupils  received  971  daily  exposures 
to  330-420  nm  radiation  as  of  4/13/84.  The  irradiated  eye 
receives  3mU*cm~a  at  the  cornea  for  1000  s  on  a  daily  basis,  5 
days  per  meek.  The  latest  examination  by  biomicroscope  can 
detect  no  anomalies  in  either  the  exposed  or  the  control  eye. 
The  pupils  during  irradiation  have  a  diameter  of  2-3  mm.  Me  have 
hypothesized  that  perhaps  the  iris  protects  the  vulnerable 
equatorial  region  of  the  lens  from  near  UV  photons.  To  test  this 
hypothesis  we  are  exposing  another  animal  to  the  same  spectrum 
under  identical  conditions  except  that  the  pupils  are  dilated  to 
greater  than  8  mm  in  diameter  by  the  use  of  atropine.  This 
animal  has  received  364  exposures  as  of  3/15/84.  No  anomalies 
have  been  detected  in  either  eye  by  biomicroscopic  examination. 
The  retinae  in  both  animals  are  normal  as  seen  with  the  fundus 
camera.  Ne  plan  to  continue  these  exposure  regimes  with  both 
animals. 

b.  Blue  light  effects  on  the  retina. 

The  trained  monkey  exposed  to  the  330-490  nm  spectrum  began 
exposures  in  August  1981.  The  corneal  irradiance  was  5mW-cm-* 
and  the  retinal  irradiance  was  estimated  to  be  8mN*cm~*. 


Periodic  examinations  disclosed  no  anomalies  in  either  retinae  or 
lenses  up  to  371  exposures  Mhen  a  seall  but  very  faint  patch  of 
depigeentation  in  the  teaporal  macula  of  the  exposed  eye  Mas 
noted  by  fundus  camera  examination.  Fluorescein  angiography  was 
normal  in  both  eyes.  As  exposures  continued  this  patch  of 
depigmentation  became  more  prominent.  After  580  exposures  it 
appeared  to  have  developed  into  a  retinal  lesion,  half-moon  in 
shape  and  about  400  pm  x  100  pm  in  size.  It  mas  decided  to 
sacrifice  this  animal  for  histological  examination. 

The  animal's  eyes  were  enucleated  and  he  mas  sacrificed  on 
April  20,1984.  Dr.  Ruffolo  mill  report  his  histological  findings 
in  the  near  future.  He  believe  that  this  experiment,  Mhile 
statistically  unsatisfactory  since  it  represents  a  single  animal, 
does  demonstrate  that  long-term,  chronic  exposure  of  the  primate 
retina  to  blue  light  produces  cumulative  photochemical  damage, 
c.  Near  UV  phototoxicity  in  the  aohakic  primate  retina. 

This  animal  had  the  lens  removed  in  one  eye  several  months 
before  exposures  began  in  October  1981  to  the  spectral  band 
330-420  nm.  Exposures  Mere  1000  s  in  duration  on  a  daily  basis, 
5  days  per  Meek.  The  divergence  of  the  beam  of  near  UV  radiation 
Mas  adjusted  to  produce  a  1.2  mm  spot  size  on  the  retina,  though 
this  is  only  approximate  since  the  exposed  eye  Mas  unable  to 
accomodate.  Irradiance  on  the  retina  Mas  estimated  at  lmN*cm-a. 
Calculations  based  on  the  blue  sky  radiance  at  noon  on  a  clear 
day  estimate  the  retinal  irradiance  on  the  aphakic  human  retina 


•  «  :||  .I  *»l  i 


with  a  2  am  diameter  pupil  to  be  between  2-3  mH‘cn“*.  After 
nearly  300  daily  exposures  fluorescein  angiography  showed 
Multiple  focal  areas  of  retinal  pigeent  epitheliua  (RPE) 
depigeentation  in  the  fundus.  After  316  exposures  funduscopic 
examination  showed  two  photic  lesions  and  nueerous  saall  areas  of 
RPE  depigeentation  near  the  aacula.  The  aniaal  was  sacrificed  in 
Noveaber  1983.  Histological  analysis  showed  widespread  RPE 
abnoraalities  in  ^he  superior  and  nasal  paraaacular  fundus.  In 
the  superior-temporal  paraaacular  sample,  containing  the  visible 
photic  lesions,  the  neural  retina  was  lost  in  specimen 
preparation.  This  was  unfortunate  since  all  of  our  observations 
to  date  on  near  UV  retinal  lesions  have  shown  severe  daaage  to 
the  photoreceptors,  especially  the  cones.  He  assume  the  same 
would  have  been  true  for  this  aniaal  had  the  neural  retina  been 
available  for  observation. 

The  inferior  temporal  region  of  the  fundus  was  essentially 
noraal.  This  experiaent  roughly  simulates  daily  exposures  to 
bright  sunlight  and  the  results  indicate  that  the  RPE  of  an 
aphakic  primate  eye  can  be  damaged  by  saall  daily  exposures  to 
near  UV  radiation. 

I.  Publications:  1983-1984 

i.  Mainster,  N.A.,  Han,  H.T.  Jr.  and  Delori,  F.C.  Potenial  retinal  hazards: 

instrument  and  environmental  light  sources.  Ophthalmol.  90.,  927-932  (1983). 

ii.  Han,  H.T.  Jr.,  Hueller,  H.A.,  Ruffolo,  J.J.  Jr.,  Millen,  J.E.,  Cleary,  S.F., 

Guerry,  R.K.  and  Guerry,  D.  III.  Basic  mechanisms  underlying  the  production 
of  photochemical  lesions  in  the  mammalian  retina.  Curr.  Eye  Res.  2.  •  165-174  (1984) 


17 


In  Press: 


i.  Haa,  H.T.  Jr.  The  photopathology  and  nature  of  the  blue  light  and  near  UV 

retinal  lesions  produced  by  lasers  and  other  optical  sources.  Chap,  in  ‘Laser 
Applications  in  Medicine  and  Biology"  Vol.  4,  edited  by  M.L.  Holbarsht,  Plenua 
Press,  N.Y. 

ii.  Haa,  H.T.  Jr.  (Chairaan),  Allen,  R.6.,  Feeney-Burns,  L. ,  Naraor,  M.F.,  Parver, 
L.M.,  Proctor,  P.H.,  Sliney,  D.H.  and  Holbarsht,  M.L.  The  Retinal  Pigaent 
Epithelial  Horking  Group  on  "The  Involveaent  of  the  Retinal  Pigaent  Epitheliua 
in  Light  Daaage,"  CRC  Press. 

iii.  Haa,  H.T.  Jr.,  Mueller,  H.A.,  Ruffolo,  J.J.  Jr.,  6uerry,  R.K.  and  Clarke,  A.M. 
Ocular  effects  of  GaAs  lasers  and  near  infrared  radiation.  Applied  Optics. 

iiii.  Ruffolo,  J.J.,  Jr.,  et  al.,  Oxygen  Enhanced  Retinal  Photosensiti  vity. , Invest. 
Ophthalaol.  I  Vis.  Sci. 

Abstracts:  1983-84 

Ruffolo,  J.J.  Jr.,  Mueller,  H.A.,  Haa,  H.T.  Jr.,  6uerry,  D.  Ill  and  Guerry,  R.K. 
Retinal  responce  to  chronic  exposure  of  an  aphakic  eye  to  a  330-420  na  spectral 
bandwidth.  Invest.  Ophthalaol.  &  Vis.  Sci.  £5.  ,  89  (March  1984). 

9.  Additional  Activities: 


April  4-6.  1983:  Dr.  Ruffolo  visited  our  laboratory  and  prepared  speciaens  for 
histological  and  ul trastructural  analysis  froa  2  aonkeys  after  exposure  to 
440  na  light  under  high  arterial  O2  tension. 

April  8-10.  1983:  Dr.  Haa  and  Mr.  Mueller  attended  a  International  Syaposiua  on 

Light  and  Oxygen  Toxicity  to  the  Eye,  sponsored  by  the  Departaent  of  Ophthalaology 
at  the  University  of  Maryland  Medical  Center,  Baltiaore,  MD.  Dr.  Haa  gave  an 
invited  paper  "Basic  aechanisas  underlying  the  production  of  photocheaical  lesions 
in  the  aaaaalian  retina."  Published  in  Current  Eye  Research. 

April  26.  1983:  Dr.  Haa  attended  a  postgraduate  syaposiua  on  radiation  hazards 

associated  with  high  technology  and  fiber  optics  coaaunication  systeas,  sponsored 
by  the  Aaerican  Occupational  Medicine  Acadeay  at  Hashington,  D.C.  and  gave  a  paper 
on  "Ocular  hazards  associated  with  high  technology." 

Hav  1-7.  1983:  Dr.  Haa  and  Harold  Mueller  attended  the  annual  aeeting  of  the 

Associated  Research  in  Vision  and  Ophthalaology  (ARVO)  and  presented  a  paper 
"Basic  aechanisas  leading  to  photocheaical  injury  of  the  aaaaalian  retina" 

July  26.  1983:  Dr.  Haa  attended  an  ad  hoc  panel  discussion  on  "Safety  guidelines 

for  blue-green  and  ultraviolet  lasers”  sponsored  by  the  Naval  Medical  Research  and 
Developaent  Coaaand  at  Bethesda,  MD. 

Sept.  6-9.  19B3:  Dr.  Ruffolo  visited  our  laboratory  for  conferences  on  research 

progress  and  the  design  of  future  experiaents. 


Sent,  10.  1983;  Dr.  Ha*  attended  a  Syaposiua  "Current  Trend*  in  Ophthal aology- 
10L  Update"  presented  by  the  Richaond  Eye  and  Ear  Hospital  in  Richaond,  VA.  Dr.  Haa 
gave  an  invited  lecture  on  "Ultraviolet  effects  on  the  eye  and  protective  aeasures." 


Sect.  25-27.  1983;  Dr.  Haa  attended  a  Workshop  on  Long-Tera  Visual  Health  and 
Optical  Radiation  sponsored  by  the  Division  of  Risk  Assessaent,  National  Center 
for  Devices  and  Radiological  Health  of  the  Food  It  Drug  Adainistration.  He 
chaired  the  Retinal  Pigaent  Epithelial  Working  6roup  Mho  Mere  assigned  the  task 
of  investigating  light  daaage  to  the  RPE  and  its  possible  relationship  to  aging 
and  aacular  degeneration  of  the  retina.  A  paper  evolving  froa  this  Working  6roup 
is  scheduled  to  be  published  in  the  CRC  Press  in  June  1985. 

Oct.  6-8,  1983:  Dr.  Haa  attended  a  Syaposiua  on  "Free  Radicals  in  Molecular 

Biology  and  Aging"  sponsored  by  the  Aaerican  Aging  Association  (A6E)  in  Washington, 
D.C. 

Nov.  9-11.  1983:  Dr.  Ruffolo  visited  our  laboratory  and  prepared  speciaens  for 

LM  and  EH  froa  a  trained  aphakic  aonkey  sacrificed  on  Nov.  9,  1983  after  316  daily 
exposures  to  the  spectral  band  330-420  na.  This  study  Mas  presented  at  ARVO, 
Sarasota,  Florida  in  Hay  1984.